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  • Original Communication
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Lung function and blood levels of copper, selenium, vitamin C and vitamin E in the general population

Abstract

Background:

Increased dietary intake of antioxidants has been associated with higher lung function, but few studies have used biological markers of antioxidant intake.

Objective:

This study aimed to determine if antioxidant status, as measured by blood levels, influences lung function.

Design:

Using a random subsample of 479 participants, aged 18–65 y old, from a larger cross-sectional observational study, the association of forced expiratory volume in 1 s (FEV1) with plasma copper, vitamin C, vitamin E and serum selenium was assessed.

Results:

An s.d. increase in blood copper level was associated with a difference in FEV1 of −48 ml (95% confidence intervals: −95, −2 ml, P=0.04), vitamin C +49 ml (+4, +94, P=0.03), vitamin E −15 ml (−62, +32, P=0.53) and selenium +52 ml (+7, +96, P=0.02). The sizes of association were not appreciably altered in a mutually adjusted model.

Conclusions:

Higher levels of serum vitamin C and selenium appear to be associated with higher FEV1. The association between higher serum copper and lower FEV1 requires further study in view of the ubiquitous exposure to this mineral.

Sponsorship:

National Asthma Campaign and British Lung Foundation.

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References

  • Al-Timimi D & Dormandy T (1977): The inhibition of lipid autoxidation by human caeruloplasmin. J. Biochem. 168, 283–288.

    Article  CAS  Google Scholar 

  • Barnes P (2000): Chronic obstructive pulmonary disease. N. Engl. J. Med. 343, 269–280.

    Article  CAS  Google Scholar 

  • Bierenbaum M, Fleischman A, Dunn J, Hayton T, Pattison D & Watson P (1973): Serum parameters in hard and soft communities. Am. J. Pub. Health 63, 169–173.

    Article  CAS  Google Scholar 

  • Bieri J, Tolliver T & Catignani G (1979): Simultaneous determination of alpha-tocopherol and retinol in plasma or red cells by high pressure liquid chromatography. Am. J. Clin. Nutr. 32, 2143–2149.

    Article  CAS  Google Scholar 

  • Boosalis M, Snowdon D, Tully C & Gross M (1996): Acute phase response and plasma carotenoid concentrations in older women: findings from the Nun study. Nutrition 12, 475–478.

    Article  CAS  Google Scholar 

  • Britton J, Pavord I, Richards K, Knox A, Wisniewski A, Lewis S, Tattersfield AE & Weiss S (1995): Dietary antioxidant vitamin intake and lung function in the general population. Am. J. Respir. Crit. Care Med. 151, 1383–1387.

    Article  CAS  Google Scholar 

  • Britton J, Pavord I, Richards K, Knox A, Wisniewski A, Weiss S & Tattersfield AE (1994a): Dietary sodium intake and the risk of airway reactivity in a random adult population. Thorax 49, 875–880.

    Article  CAS  Google Scholar 

  • Britton J, Pavord I, Richards K, Wisniewski A, Knox A, Lewis S, Tattersfield AE & Weiss S (1994b): Dietary magnesium, lung function, wheezing, and airway hyper-reactivity in a random adult population sample. Lancet 344, 357–362.

    Article  CAS  Google Scholar 

  • Burtis C & Ashwood E (1986): Tietzbook of Clinical Chemistry, 2nd Edition. London: WB Saunders.

    Google Scholar 

  • Butland B, Fehily A & Elwood P (2000): Diet, lung function, and lung function decline in a cohort of 2512 middle aged men. Thorax 55, 102–108.

    Article  CAS  Google Scholar 

  • Chen R, Tunstall-Pedoe H, Bolton-Smith C, Hannah M & Morrison C (2001): Association of dietary antioxidants and waist circumference with pulmonary function and airway obstruction. Am. J. Epidemiol. 153, 157–163.

    Article  CAS  Google Scholar 

  • Denko C (1979): Protective role of ceruloplasmin in inflammation. Agents Actions 9, 333–334.

    Article  CAS  Google Scholar 

  • Dow L, Tracy M, Villar A, Coggon D, Margetts B, Campbell M & Holgate S (1996): Does dietary intake of vitamins C and E influence lung function in older people. Am. J. Respir. Crit. Care Med. 154, 1401–1404.

    Article  CAS  Google Scholar 

  • Fletcher C, Peto R, Tinker C & Speizer F (eds) (1976): Factors related to the development of airflow obstruction. In The Natural History of Chronic Bronchitis and Emphysema pp 70–102. Oxford: Oxford University Press.

    Google Scholar 

  • Fogarty A, Lewis S, Weiss S & Britton J (2000): Dietary vitamin E, immunoglobulin E levels and atopy. Lancet 356, 1573–1574.

    Article  CAS  Google Scholar 

  • Forsberg L, de Faire U & Morgenstern R (2001): Oxidative stress, human genetic variation, and disease. Arch. Biochem. Biophys. 389, 84–93.

    Article  CAS  Google Scholar 

  • Fridovich I (1978): The superoxide radical is an agent of oxygen toxicity: superoxide dismutases provide an important defense. Science 201, 875–880.

    Article  CAS  Google Scholar 

  • Gilliland F, Berhane K, Li Y-F, Gauderman W, McConnell R & Peters J (2003): Children's lung function and antioxidant vitamin, fruit, juice, and vegetable intake. Am. J. Epidemiol. 158, 576–584.

    Article  Google Scholar 

  • Goldstein I, Kaplan H, Edelson H & Weissman G (1979): Ceruloplasmin: a savenger of superoxide anion radicals. J. Biolog. Chem. 254, 4040–4045.

    CAS  Google Scholar 

  • Grievink L, Smit H, Ocke M, Van't Veer P & Kromhout D (1998): Dietary intake of antioxidant (pro)-vitamins respiratory symptoms and pulmonary function: the MORGEN study. Thorax 53, 166–171.

    Article  CAS  Google Scholar 

  • Grievink L, Smit H, Veer P, Brunekreef B & Kromhout D (1999): Plasma concentrations of the antioxidants b-carotene and a-tocopherol in relation to lung function. Eur. J. Clin. Nutr. 52, 813–817.

    Article  Google Scholar 

  • Grievink L, Waart F, Schouten E & Kok F (2000): Serum carotenoids, a-tocopherol, and lung function among Dutch elderly. Am. J. Respir. Crit. Care Med. 161, 790–795.

    Article  CAS  Google Scholar 

  • Gutteridge J, Richmond R & Halliwell B (1980): Oxygen free-radicals and lipid peroxidation: inhibition be the protein caeruloplasmin. FEBS Lett. 112, 269–272.

    Article  CAS  Google Scholar 

  • Halliwell B (1996): Antioxidants in human health and disease. Ann. Rev. Nutr. 16, 33–50.

    Article  CAS  Google Scholar 

  • Halliwell B & Gutteridge J (1984): Oxygen toxicity, oxygen radicals, transition metals and disease. Biochem. J. 219, 1–14.

    Article  CAS  Google Scholar 

  • Hu G & Cassano P (2000): Antioxidant Nutrients and Pulmonary Function: The Third National Health and Nutrition Examination Survey (NHANES III). Am. J. Epidem. 151, 975–981.

    Article  CAS  Google Scholar 

  • Hu G, Zhang X, Chen J, Peto R, Campbell C & Cassano P (1998): Dietary vitamin C intake and lung function in rural china. Am. J. Epidemiol. 148, 594–599.

    Article  CAS  Google Scholar 

  • Hunter D (1990): Biochemical indicators of dietary intake. In Nutritional Epidemiology ed. W Willett, pp 143–216. New York: Oxford University Press.

    Google Scholar 

  • Kadrabova J, Madaric A, Podivinsky F, Gazdik F & Ginter E (1996): Plasma zinc, copper and copper/zinc ration in intrinsic asthma. J. Trace Elements Med. Biol. 10, 50–53.

    Article  CAS  Google Scholar 

  • Kelly Y, Sacker A & Marmot M (2003): Nutrition and respiratory health in adults: findings from the Health Survey for Scotland. Eur. Resp. J. 21, 664–671.

    Article  CAS  Google Scholar 

  • Kennedy T, Ghio A, Reed W, Samet J, Zagorski J, Quay J, Carter J, Dailey L, Hoidal J & Devlin R (1998): Copper-dependent inflammation and nuclear factor-kB activation by particulate air pollution. Am. J. Respir. Cell. Mol. Biol. 19, 366–378.

    Article  CAS  Google Scholar 

  • Lange P, Parner J, Vestbo J, Schnohr P & Jensen G (1998): A 15 year follow-up study of ventilatory fucntion in adults with asthma. N. Engl. J. Med. 339, 1194–1200.

    Article  CAS  Google Scholar 

  • Lawlor D, Davey Smith G, Bruckdorfer K, Kundu D & Ebrahim S (2004): Those confounded vitamins: what can we learn from the differences between observational versus randomised trial evidence? Lancet 363, 1724–1727.

    Article  Google Scholar 

  • Malvy J-M, Lebranchu Y, Richard M-J, Arnaud J & Favier A (1993): Oxidative metabolism and severe asthma in children. Clin. Chim. Acta. 218, 117–120.

    Article  CAS  Google Scholar 

  • Maritz G & Windvogel S (2003): Is maternal copper supplementation during alveolarisation protecting the developing rat lung against the adverse effects of maternal nitotine exposure? A morphometric study. Exp. Lung Res. 29, 243–260.

    Article  CAS  Google Scholar 

  • Ness A, Khaw K, Bingham S & Day N (1996): Vitamin C status and respiratory function. Eur. J. Clin. Nutr. 50, 573–579.

    CAS  PubMed  Google Scholar 

  • O'Dell B, Kilburn K, McKensie W & Thurston R (1978): The lung of the copper-deficient rat. Am. J. Pathol. 91, 413–432.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Repine J, Bast A, Lankhorst I & and the oxidative stress study group (1997): Oxidative stress in chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 156, 341–357.

    Article  CAS  Google Scholar 

  • Rice T, Clarke R, Godleski J, Al-Mutairi E, Jiang N-F, Hauser R & Paulaukis J (2001): Differential ability of transition metals to induce pulmonary inflammation. Toxicol. Appl. Pharm. 177, 46–53.

    Article  CAS  Google Scholar 

  • Schunemann H, Grant B, Freudenheim J, Muti P, Browne R, Drake J, Klocke R & Trevisan M (2001): The relation of serum levels of antioxidant vitamins C and E, retinol and carotenoids with pulmonary function in the general population. Am. J. Respir. Crit. Care Med. 163, 1246–1255.

    Article  CAS  Google Scholar 

  • Schwartz J & Weiss S (1990): Dietary factors and their relation to respiratory symptoms. The second national health and nutrition examination survey. Am. J. Epidemiol. 132, 67–76.

    Article  CAS  Google Scholar 

  • Schwartz J & Weiss S (1994): Relationship between dietary vitamin C and pulmonary function in the First National Health and Nutrition Examination Survey (NHANES I). Am. J. Clin. Nutr. 59, 110–114.

    Article  CAS  Google Scholar 

  • Sparrow D, Silbert J & Weiss S (1982): The relationship of pulmonary function to copper concentrations in drinking water. Am. Rev. Respir. Dis. 126, 312–315.

    CAS  PubMed  Google Scholar 

  • Taylor J & Oey L (1982): Ceruloplasmin: plasma inhibitor of the oxidative inactivation of alpha1-protease inhibitor. Am. Rev. Respir. Dis. 126, 476–482.

    CAS  PubMed  Google Scholar 

  • Traber M & Jialal I (2000): Measurement of lipid-soluble vitamins—further adjustment needed? Lancet 355, 2013–2014.

    Article  CAS  Google Scholar 

  • Varley H, Gowenlock A & Bell M (1980): Practical Clinical Biochemistry, 5th Edition. London and Tonbridge: The Whitefriars Press, 941–946.

    Google Scholar 

  • Vural H, Uzun K, Uz E, Kocyigit A, Cigli A & Akyol O (2000): Concentrations of copper, zinc, and various elements in serum of patients with bronchial asthma. J. Trace Elements Med. Biol. 14, 88–91.

    Article  CAS  Google Scholar 

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Acknowledgements

The study was funded by the British Lung Foundation and the National Asthma Campaign.

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Correspondence to A Fogarty.

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Guarantor: A Fogarty.

Contributors: JB, IP and SW designed the study. Data collection was by JB and IP. Data analysis was by AF, SL and PP. All authors contributed to the preparation of the manuscript. The authors have no personal interests in the organisations that funded the research.

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Pearson, P., Britton, J., McKeever, T. et al. Lung function and blood levels of copper, selenium, vitamin C and vitamin E in the general population. Eur J Clin Nutr 59, 1043–1048 (2005). https://doi.org/10.1038/sj.ejcn.1602209

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602209

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